Provider Demographics
NPI:1700265709
Name:THE NEW YORK FOUNDLING HOSPITAL
Entity Type:Organization
Organization Name:THE NEW YORK FOUNDLING HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FFT THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:DAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:646-574-3831
Mailing Address - Street 1:33-00 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:QUEENS
Mailing Address - State:NY
Mailing Address - Zip Code:11101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:33-00 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11101
Practice Address - Country:US
Practice Address - Phone:646-574-3831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093641251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management